
Found in shampoo and curtains, this toxic chemical in your home could be killing you: Study warns
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Cardiovascular Inflammation and Hormonal Disruption
Global and Economic Impact
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Minimizing Daily Exposure
A groundbreaking global study has drawn attention to the significant health risks posed by phthalates—synthetic chemicals found in many common plastic products. Researchers from New York University's Grossman School of Medicine have linked exposure to one particular phthalate, Di(2-ethylhexyl)phthalate (DEHP), to over 356,000 deaths from cardiovascular disease in 2018 among people aged 55 to 64.DEHP, used to make plastics more flexible, is found in a broad range of consumer goods including food packaging, vinyl flooring, shower curtains, shampoo, cosmetics, and even medical devices like IV bags and catheters. The study, published in The Lancet eBiomedicine, examined exposure levels in 200 countries and territories using urine samples to estimate how much of the broken-down chemical had entered individuals' bodies. The results were then compared to global cardiovascular death statistics from the Institute for Health Metrics and Evaluation.According to senior study author Dr. Leonardo Trasande, DEHP contributes to 'inflammation and systemic inflammation in the coronary arteries,' which may worsen existing heart conditions and potentially result in fatal outcomes. Dr. Trasande also emphasized the role of phthalates as endocrine disruptors, interfering with hormones that regulate essential biological functions such as metabolism and heart health.Phthalates are already well known for their link to male reproductive issues, including reduced sperm count, testosterone disruption, and genital abnormalities. They have also been associated with asthma, obesity, diabetes, and certain cancers. DEHP, in particular, is listed under California's Proposition 65 for its potential to cause reproductive harm and cancer.The burden of DEHP-related cardiovascular deaths is not evenly distributed. India reported the highest number of such deaths—over 103,000—followed by China and Indonesia. Collectively, regions including the Middle East, South Asia, East Asia, and the Pacific accounted for nearly 75% of these fatalities. These areas also face heightened exposure due to rapid industrialization and fewer regulatory restrictions on plastic production.While the study did not establish direct causation, it is considered the first to provide a global estimate of cardiovascular deaths linked to phthalate exposure. Researchers estimate the economic cost of these deaths to range from $510 billion to over $3.7 trillion due to lost productivity.Given how prevalent phthalates are, avoiding them entirely may be difficult. However, experts suggest several practical steps to reduce exposure. Consumers are advised not to microwave food in plastic containers, as heat can cause the chemicals to leach into food. Using glass, stainless steel, or ceramic containers for food storage is recommended. Additionally, people should opt for fragrance-free personal care and cleaning products, avoid air fresheners, and check plastic recycling labels—steering clear of products marked with codes 3, 6, and 7.'Reducing your use of ultraprocessed foods can reduce the levels of chemical exposures,' said Dr. Trasande, who also leads the NYU Center for the Investigation of Environmental Hazards.Researchers stressed the urgency for stricter global regulations on DEHP and other phthalates, especially in regions with high usage and weak chemical oversight. 'By highlighting the connection between phthalates and a leading cause of death across the world, our findings add to the vast body of evidence that these chemicals present a tremendous danger to human health,' stated lead author Sara Hyman.
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Time of India
3 days ago
- Time of India
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The Hindu
5 days ago
- The Hindu
Should HIV/AIDS testing be made mandatory before marriage?
In July, Meghalaya Health and Family Welfare Minister Mazel Ampareen Lyngdoh announced that the State may follow Goa in making HIV/AIDS test mandatory for all before marriage. The problem is multi-disciplinary; it is not merely a question of health, but also involves considerations of human rights, stigma, and free will. Should HIV/AIDS testing be made mandatory? N. Kumarasamy and Jahnabi Goswami discuss the question in a conversation moderated by Ramya Kannan. Edited excerpts: Is it possible to implement mandatory testing for HIV before marriage? What are the advantages of such a move? N. Kumarasamy: Regarding HIV, making anything mandatory is not acceptable. The HIV and AIDS (Prevention and Control) Act, 2017, clearly mandates counselling before testing, and testing only with the consent of a patient. As per the law of the land, once you do the testing, everything must be kept confidential. If they test positive, patients should be linked to the appropriate antiretroviral treatment centres. The next question will be whether they can get married — that has also been dealt with by the 2017 law. Today, based on science, we know that if a HIV-positive person is put on antiretroviral treatment, the viral load goes to an undetectable level within 2-3 months. Studies have shown that a person who has an undetectable level of viral load will not transmit infections sexually to their partners. The person will also not develop any HIV-related complications such as opportunistic infections, tuberculosis (TB), and various other comorbid conditions, and maintain a normal immunity level. Mandatory HIV testing without the consent of such a person will be a human rights violation. And doing so will also increase stigma. For all these reasons, mandatory testing cannot take place. HIV testing should be offered to as many people as possible — mainly to those who are at risk and also people who believe that they may be at risk. It should be offered. Consent is important. And testing, if done, should be done while maintaining appropriate confidentiality. Jahnabi Goswami: Yes, the viral load can be managed with drugs. But I still think HIV testing should be made mandatory before marriage. There are a number of cases we know where people who have been infected, but are not taking antiretrovirals regularly, get married because of family and societal pressure. The spouse finds out only later, or perhaps when she or he tests positive for HIV. The children are likely to be affected too. In India we believe in matching horoscopes before the wedding. Why not a HIV test, to see if the couple are compatible at all? Such a test will also ensure the health of the family. Will this move actually empower women? Jahnabi Goswami: My agenda is not women or male empowerment per se. In the north-east, specifically, there have been a number of cases where the (HIV positive) status was concealed. Injecting drug use is responsible for nearly 64% of HIV infections in the north-east. Men (injecting drug users) clean up for three months, get married and don't inform their wives. A few months later, they bring their wives too to test. Even today, we had such a case. This happens regularly. In fact, I believe that to safeguard women and girls, it is essential to go in for mandatory testing, with counselling. About confidentiality and consent, I want to point out that in practice, doctors are forcefully testing for HIV. Even if you go for a small dental procedure — sometimes they counsel, sometimes they don't, and force you to do HIV test. Sometimes it is good counselling and sometimes it is of bad quality. Will the HIV test, if it comes negative, provide a false sense of security? N. Kumarasamy: While you are doing appropriate testing, you are also counselling a patient to find out the duration of exposure. That also helps you determine the window period when testing should be offered. That is the reason you counsel someone. If you force someone to do a test, they may go to a lab and get it done. The test report can be negative but the person might really be positive (for HIV) leading to transmission of infection. If testing is done with appropriate consent, counselling, and confidentiality, I'm sure people are not going to refuse it. Goa also proposed mandatory testing some years ago, but it is still not a reality... N. Kumarasamy: Yes, it is not implemented in Goa. But there is wide testing happening in the State. There is no mandatory testing before a wedding. The thing is they cannot implement this because this will cause human rights violations. The same thing is happening in Meghalaya. If you look at the reports on rising infections, perhaps the State is ranked 5th or 6th where a significant number of infections is through injecting drug use and also through sexual contact. But I think it is possible to learn from other States, especially from southern India — Tamil Nadu, Kerala, and Andhra Pradesh — as well as Maharashtra. The ideal way to contain this infection is to do appropriate HIV testing as much as possible in a variety of settings with proper consent and then link those tested people to the treatment. That will reduce infectiousness in the country and also lead to a reduction in new infections in Meghalaya. Jahnabi Goswami: I think it will definitely happen because the situation is quite different in Meghalaya. To understand it, you should understand the circumstances and people of the State. In Meghalaya, certain groups in the Christian community still think it is taboo to use a condom even if it is recommended by law. (The HIV Act promotes safe sex practices.) In fact, implementing the HIV/AIDS Act in Meghalaya is really difficult. Also, culturally and socially, they have provisions for extramarital affairs and living together. These are quite common among the youth. Simultaneously, HIV is a big discriminator in Meghalaya and no one has actually accepts HIV-positive men or women. How do we address the stigma that is still associated with HIV? N. Kumarasamy: Stigma started in India because it (HIV) was first detected in a commercial sex worker, so it was attributed to multi-partner sex. But this is not true, as we have seen. HIV is still an incurable disease. The way to address stigma today is to make sure that common people are aware that we now have treatment available. Even if it is not curable, it is permanently controllable. In our research studies in Chennai, we showed that treating one partner will prevent transmission if the viral load goes down. The message U=U (undetectable is untransmittable) does work. Such scientific messages can remove stigma from the community, so that as many people as possible will test and be linked to treatment. Someone who is already on treatment will do well, and not transmit infection to the others. Addressing stigma is not an easy thing. Over 30 years of taking care of people with HIV and their families at our centre here, we realise that each one is different. Much is based on their education, how they were raised, and whether they live in the village or city. All this will have to be wrapped up in several rounds of counselling. Jahnabi Goswami: As Dr. Kumarasamy has said, stigma is associated not with the disease, but with where the infection arises from. The impression is that people who are in sex work will get HIV; people who do drugs will get HIV. That is where the stigma comes from. We should constantly try to reduce stigma. The government, people who are infected, like me, and those working in the field should work hard to erode the stigma. If someone has cancer, they say without any hesitation that their family members died of cancer. If they are diabetic, they say they don't use sugar. And if they have hypertension, they don't mind asking you not to put salt in their food. But people who have HIV or people who have TB do not talk openly about it because these are seen as behavioral issues. We must remove the stigma and make it comfortable for HIV-positive people to talk about their status. I do believe we have to involve counsellors to tell people that they will not transmit because they are on treatment, that U=U; and involve more people with HIV as role models to reduce stigma and discrimination. The quality of counselling should be improved for sure. Listen to the conversation


Time of India
7 days ago
- Time of India
Harvard expert reveals jobs that may protect you from Alzheimer's disease
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